CPT code 77063: Screening breast tomosynthesis, bilateral screening add-on2026 Medicare rate & RVUs in Wisconsin

Report bilateral screening breast tomosynthesis as an add-on when three-dimensional images of both breasts are acquired and interpreted with a screening mammogram.

CMS RVU26DEffective Oct 1, 2026One payment locality5.8M Medicare services in 2024

In Wisconsin, Medicare pays $49.13 for 77063 in the office.

$49.13Office (non-facility)
Not available in this settingHospital or facility
−3.9%vs the national office rate ($51.10)

Check a contract rate as a % of Medicare · 77063 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 77063 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Wisconsin
  2. What 77063 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 77063 covers

This service adds tomosynthesis images of both breasts to a screening mammogram. An x-ray tube moves across each compressed breast, and the acquired images are reconstructed into thin slices that help the radiologist assess overlapping tissue. A mammography technologist obtains the images in a hospital outpatient department, freestanding imaging center, or mobile mammography unit. The radiologist interprets the tomosynthesis images alongside the screening mammogram’s standard or synthesized two-dimensional images.

Report 77063 once with bilateral screening mammography code 77067 when tomosynthesis of both breasts is performed and interpreted; it cannot be reported alone. The report should document bilateral tomosynthesis and its interpretation. As an add-on, 77063 is paid within the primary procedure’s global period. Its price already accounts for both breasts, so modifier 50 does not increase payment. Modifier 26 identifies the radiologist’s interpretation, modifier TC identifies the equipment and staff portion, and an unmodified claim represents the global service. For Medicare diagnostic tomosynthesis, use G0279 with the applicable diagnostic mammography code instead.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Wisconsin compares for 77063

Across 109 of 109 payment localities, the office rate for 77063 runs from $46.33 in Arkansas to $66.24 in San Benito County, CA. Wisconsin pays $49.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

77063 in Wisconsin vs other payment areas
  1. Wisconsin · this page$49.13
  2. Los Angeles, CA · California$57.14+$8.01
  3. Washington, DC area · District of Columbia$57.69+$8.56
  4. Miami, FL · Florida$53.88+$4.75
  5. Chicago, IL · Illinois$52.69+$3.56
  6. Manhattan, NY · New York$57.88+$8.75
  7. Alaska · Alaska$62.48+$13.35

Other areas in Wisconsin first, then benchmark localities. Bars start at $0.

Every other payment area

77063 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$46.87—
ArkansasArkansas$46.33—
ArizonaArizona$50.02—
Bakersfield, CACalifornia$54.00—
Chico, CACalifornia$53.89—
El Centro, CACalifornia$53.90—
Fresno, CACalifornia$53.89—
Hanford, CACalifornia$53.89—

77063 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$46.33

$62.48

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
77063 office rate range by state
State / territoryOffice rate rangeLocalities
AK$62.481
AL$46.871
AR$46.331
AZ$50.021
CA$53.89–$66.2429
CO$53.071
CT$54.051
DC$57.691
DE$50.741
FL$50.27–$53.883
GA$48.01–$51.852
GU$54.851
HI$54.851
IA$47.921
ID$48.141
IL$49.02–$52.844
IN$48.371
KS$47.691
KY$47.641
LA$47.57–$49.452
MA$52.83–$57.702
MD$51.58–$57.693
ME$48.29–$50.462
MI$48.59–$50.732
MN$51.281
MO$46.88–$49.653
MS$46.621
MT$51.101
NC$48.711
ND$50.511
NE$48.141
NH$52.221
NJ$54.79–$57.282
NM$48.781
NV$50.971
NY$49.29–$58.975
OH$48.471
OK$47.631
OR$50.68–$54.542
PA$48.56–$52.902
PR$51.421
RI$52.371
SC$48.641
SD$50.441
TN$47.871
TX$48.30–$52.798
UT$49.181
VA$50.29–$57.692
VI$51.421
VT$50.301
WA$52.73–$58.802
WI$49.131
WV$47.551
WY$50.841

See 77063 in every payment locality

How the 77063 rate is calculated

Each of 77063’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 77063

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.59

0.59 RVUs× 1.000 GPCI

Practice expense0.91

0.91 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.5300

Conversion factor

$33.4009

Medicare rate

$51.10

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Wisconsin inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,973

Code
77063
Physician work
0.59
Practice expense
0.91
Malpractice
0.03

GPCI2026.csv

111

Locality
Wisconsin
Physician work
1.000
Practice expense
0.958
Malpractice
0.308
Office calculation for 77063 in Wisconsin
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0000.5900
Practice expense0.91× 0.9580.8718
Malpractice0.03× 0.3080.0092
Total RVUs1.4710
Conversion factor× 33.4009

Office rate, Wisconsin$49.13

Office: (0.59 × 1 + 0.91 × 0.958 + 0.03 × 0.308) × $33.4009 = $49.13

Open 77063 in the RVU calculator

Payment rules and modifiers for 77063

The CMS indicators that decide how 77063 is paid alongside other services.

CMS payment indicators · 77063

Screening breast tomosynthesis, bilateral screening add-on

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)9The concept doesn’t apply.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

77063 without 26 · national office

$51.10

Screening breast tomosynthesis, bilateral screening add-on

77063-26 · Professional component

$27.72

Pays only the interpretation and report.

When to use modifier 26

How 77063 has changed in Wisconsin

77063 · Office / nonfacility

$49.13

Effective 2026-10-01

The base rate is $0.30 higher than on 2025-10-01, moving from $48.83 to $49.13 (0.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $48.83changed to$49.13

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.60 changed to 0.59
    • Practice expense RVU 0.94 changed to 0.91
    • Practice expense GPCI 0.957 changed to 0.958
    • Malpractice GPCI 0.331 changed to 0.308

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $49.93changed to$48.83

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.93 changed to 0.94

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $49.11changed to$49.93

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $51.02changed to$49.11

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.94 changed to 0.93
    • Malpractice RVU 0.04 changed to 0.03
    • Practice expense GPCI 0.950 changed to 0.957
    • Malpractice GPCI 0.314 changed to 0.331
  5. January 1, 2023

    RVU23A

    $51.16changed to$51.02

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.92 changed to 0.94
    • Practice expense GPCI 0.942 changed to 0.950
    • Malpractice GPCI 0.296 changed to 0.314

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $52.57changed to$51.16

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.95 changed to 0.92

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $53.51changed to$52.57

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.92 changed to 0.95
    • Malpractice RVU 0.03 changed to 0.04
    • Practice expense GPCI 0.949 changed to 0.942
    • Malpractice GPCI 0.322 changed to 0.296

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $53.73changed to$53.51

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 0.957 changed to 0.949
    • Malpractice GPCI 0.347 changed to 0.322

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $54.01changed to$53.73

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.93 changed to 0.92

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $54.28changed to$54.01

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.94 changed to 0.93
    • Practice expense GPCI 0.956 changed to 0.957
    • Malpractice GPCI 0.457 changed to 0.347

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $53.89changed to$54.28

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.93 changed to 0.94
    • Practice expense GPCI 0.955 changed to 0.956
    • Malpractice GPCI 0.566 changed to 0.457

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $54.29changed to$53.89

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.04 changed to 0.03

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $54.02changed to$54.29

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$54.02

    Held through RVU15B.

  15. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$49.13Not available in this settingRVU26D
2026-07-01$49.13Not available in this settingRVU26C
2026-04-01$49.13Not available in this settingRVU26B
2026-01-01$49.13Not available in this settingRVU26A
2025-10-01$48.83Not available in this settingRVU25D
2025-07-01$48.83Not available in this settingRVU25C
2025-04-01$48.83Not available in this settingRVU25B
2025-01-01$48.83Not available in this settingRVU25A
2024-10-01$49.93Not available in this settingRVU24D
2024-07-01$49.93Not available in this settingRVU24C
2024-04-01$49.93Not available in this settingRVU24B
2024-03-09$49.93Not available in this settingRVU24AR
2024-01-01$49.11Not available in this settingRVU24A
2023-10-01$51.02Not available in this settingRVU23D
2023-07-01$51.02Not available in this settingRVU23C
2023-04-01$51.02Not available in this settingRVU23B
2023-01-01$51.02Not available in this settingRVU23A
2022-10-01$51.16Not available in this settingRVU22D
2022-07-01$51.16Not available in this settingRVU22C
2022-04-01$51.16Not available in this settingRVU22B
2022-01-01$51.16Not available in this settingRVU22A
2021-10-01$52.57Not available in this settingRVU21D
2021-07-01$52.57Not available in this settingRVU21C
2021-04-01$52.57Not available in this settingRVU21B
2021-01-01$52.57Not available in this settingRVU21A
2020-10-01$53.51Not available in this settingRVU20D
2020-07-01$53.51Not available in this settingRVU20C
2020-04-01$53.51Not available in this settingRVU20B
2020-01-01$53.51Not available in this settingRVU20A
2019-10-01$53.73Not available in this settingRVU19D
2019-07-01$53.73Not available in this settingRVU19C
2019-04-01$53.73Not available in this settingRVU19B
2019-01-01$53.73Not available in this settingRVU19A
2018-10-01$54.01Not available in this settingRVU18D
2018-07-01$54.01Not available in this settingRVU18C
2018-04-01$54.01Not available in this settingRVU18B
2018-01-01$54.01Not available in this settingRVU18AR1
2017-10-01$54.28Not available in this settingRVU17D
2017-07-01$54.28Not available in this settingRVU17C
2017-04-01$54.28Not available in this settingRVU17B
2017-01-01$54.28Not available in this settingRVU17A
2016-10-01$53.89Not available in this settingRVU16D
2016-07-01$53.89Not available in this settingRVU16C
2016-04-01$53.89Not available in this settingRVU16B
2016-01-01$53.89Not available in this settingRVU16A
2015-10-01$54.29Not available in this settingRVU15D
2015-07-01$54.29Not available in this settingRVU15C
2015-04-01$54.02Not available in this settingRVU15B
2015-01-01$54.02Not available in this settingRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 77063 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

  • Abbotsford
  • Abrams
  • Adams
  • Adell
  • Albany
  • Algoma
  • Allens Grove
  • Allenton

Browse all communities in Wisconsin

77063 billing questions

Can 77063 be billed without a screening mammogram?

No. It is an add-on to bilateral screening mammography code 77067 and is reported when bilateral screening tomosynthesis is also performed.

Which code is used for tomosynthesis during a diagnostic mammogram for Medicare?

Medicare uses add-on code G0279 with diagnostic mammography code 77065 or 77066. Do not use 77063 for diagnostic tomosynthesis.

Should modifier 50 or two units be reported?

No. Report one unit for tomosynthesis of both breasts. The code is already priced as bilateral, so modifier 50 does not increase payment.

How is billing split between a hospital and a reading radiologist?

The radiologist reports 77063-26 for the interpretation, while the hospital bills for the technical service. A freestanding imaging center may report 77063-TC for its technical portion or the unmodified global code when it furnishes both portions.

What if screening leads to a diagnostic workup the same day?

Report the diagnostic mammogram when performed, adding G0279 if diagnostic tomosynthesis is performed. Medicare requires modifier GG on the diagnostic mammography code when screening and diagnostic mammograms are performed for the same patient on the same day.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 77063PPRRVU2026_Oct_nonQPP.csv, line 8,973 (RVU26D)
Geographic factors for WisconsinGPCI2026.csv, line 111 (RVU26D)

Open CMS sourceHow we calculate rates

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